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Published on: May 26, 2023
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Summary
Cemented Monk hard-top endoprostheses for femoral neck fractures show better mobility and social scores than uncemented ones. This study suggests cemented prostheses offer greater advantages for patients with intracapsular hip fractures.
Area of Science:
- Orthopedic surgery
- Biomaterials science
Background:
- Intracapsular fracture of the femoral neck is a common injury, particularly in elderly patients.
- Treatment options include cemented and uncemented hip prostheses.
Purpose of the Study:
- To compare the clinical and radiographic outcomes of cemented versus uncemented Monk hard-top endoprostheses in patients with intracapsular femoral neck fractures.
Main Methods:
- Retrospective study comparing 45 patients with cemented prostheses and 61 patients with uncemented prostheses.
- Patients were matched for age, age distribution, and preoperative condition.
- Follow-up included assessment of mobility, social performance, pain, range of motion, and radiographic evaluation.
Main Results:
- The cemented group demonstrated significantly higher mobility and social performance scores.
- No significant differences were observed in pain or hip range of motion between the groups.
- Radiographic analysis revealed no increased acetabular cartilage wear in the cemented group, but a higher tendency for loosening in the uncemented group.
Conclusions:
- Cemented Monk hard-top endoprostheses appear to provide superior functional outcomes compared to uncemented prostheses for intracapsular femoral neck fractures.
- The benefits of cemented prostheses, including better patient mobility and social function, outweigh potential disadvantages.
